About Metro NeuroHealth
Operational expertise for outpatient psychiatry practices—built from real-world experience, not theory.

Built for Psychiatry Practices That Expect More Than Basic Support
Metro NeuroHealth was established to solve a problem that continues to affect outpatient psychiatry practices nationwide:
Operational and revenue cycle breakdowns that limit growth, delay reimbursement, and create unnecessary risk.
While many companies offer billing or credentialing services, few understand how these systems must function together in real-world practice environments.
Our work extends beyond task execution. We focus on how these systems function together to ensure practices are positioned to operate efficiently, remain compliant, and be reimbursed accurately.
Metro NeuroHealth was built differently.
We support outpatient psychiatry practices across the country—including private practices, multi-provider groups, and specialty programs—by aligning the operational systems that determine:
Payer enrollment and credentialing accuracy
Prior authorization and intake workflows
Administrative costs increase without improving performance
Documentation alignment with medical necessity requirements
Billing performance and revenue cycle outcomes
Ongoing provider maintenance and compliance
From Specialty Focus to Full Psychiatry Practice Support
Metro NeuroHealth is widely recognized for its work in interventional psychiatry, especially TMS therapy and Spravato® program development, where payer requirements, authorization workflows, and documentation standards are particularly complex.
Through that work, we developed deep operational expertise in:
- Behavioral health reimbursement systems
- Prior authorization management
- Payer medical policy alignment
- Documentation standards for medical necessity
- Workflow design for specialty services
That experience naturally expanded into supporting outpatient psychiatry practices more broadly.
Today, we work with practices across the full spectrum of behavioral health services—not just specialty programs—helping them build and maintain the systems required for consistent reimbursement and long-term scalability.
What Makes Our Approach Different
Most organizations in this space operate transactionally.
They process claims. They submit applications. They respond to problems after they occur.
Metro NeuroHealth operates differently.
We focus on the system behind the outcome.
Our approach is built on aligning:
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Credentialing with legal structure, taxonomy, and payer requirementsy
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Authorization workflows with clinical care delivery
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Documentation with payer-defined medical necessity
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Billing processes with real-world payer behavior
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Provider data with ongoing compliance requirements
This is not a collection of services. It is an integrated operational framework.
Because of this, our clients are not simply outsourcing tasks—they are strengthening the infrastructure that determines whether their practice gets paid.
Credentialing must reflect payer-specific medical policies. We align:
- Services with payer coverage guidelines
- Provider types with reimbursable services
- Enrollment with authorization and billing requirements .
Behavioral Health Payer Policy Alignment
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This prevents situations where services are technically enrolled—but not reimbursed.
Leadership Backed by Real-World Experience
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Psychiatric hospital credentialing and enrollment
Individual provider credentialing
Commercial payer, Medicare, Medicaid enrollment
Payer contracting support and alignment
- Owned and operated multiple TMS therapy clinics
- Worked directly within outpatient psychiatry practice environments
- Led the development of operational systems for credentialing, billing, and authorization workflows
- Supported hundreds of providers and practices across the United States
Her experience provides a perspective that is often missing in this industry.
Rather than approaching credentialing, billing, and operations from a theoretical or vendor-based standpoint, Kim understands how these systems function in practice—where breakdowns occur, and how they must be structured to support both patient care and financial performance.
Kim Mercille, RN — Founder
Metro NeuroHealth was founded by Kim Mercille, a Registered Nurse with over 30 years of experience in healthcare operations, behavioral health, and specialty service delivery.
Kim has not only worked within the system—she has built and operated it.
She has:

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Rosebell Murigu, MBA — Owner
In May 2025, Metro NeuroHealth was acquired by Rosebell Murigu, MBA, an established leader in medical billing and revenue cycle management.
Rosebell is the owner of Quick Claimers Medical Billing and brings extensive experience in:

Psychiatric hospital credentialing and enrollment
Individual provider credentialing
Commercial payer, Medicare, Medicaid enrollment
Payer contracting support and alignment
- Revenue cycle management across multiple specialties
- Billing operations and financial performance optimization
- Practice support infrastructure and scalability
- Organizational leadership and operational growth
Her background strengthens Metro NeuroHealth’s ability to deliver not only operational alignment but also sustained billing performance and financial oversight.
Together, this leadership structure combines clinical, operational, and revenue cycle expertise, allowing Metro NeuroHealth to support psychiatry practices at a level that extends beyond traditional service providers.
Most firms will address one piece of this.
Very few are structured to take control of all of it.
That is the difference between support and operational oversight.
If your credentialing, billing, provider data, and operations are being handled by different people, systems, or vendors—this is where your revenue is being lost.

Supporting Practices Across the Entire Revenue Cycle
Metro NeuroHealth provides support across the full lifecycle of outpatient psychiatry operations, including:
- Credentialing, contracting, and payer enrollment
- Billing and revenue cycle management
- Prior authorization and intake workflow support
- Virtual staffing through our AssistMD Virtual Assistant Program
- Ongoing provider maintenance through our SmartMD Program
- Consulting and training for interventional psychiatry, TMS, and Spravato® services
- Operational workflow design, policies and procedures, and customized clinic and patient forms - all part of our Start It Up! Program.
Each service is designed to support the same objective.
Ensuring that the systems driving reimbursement, compliance, and growth are aligned and functioning correctly.
A National Partner for Psychiatry & Interventional Mental Health Practices
Metro NeuroHealth partners with psychiatry practices nationwide, from emerging clinics and established, multi-provider organizations specializing in TMS, Spravato, and other psychiatric services to private mental health hospitals. Our clients rely on our extensive industry experience, specialized expertise, and strategic guidance to navigate complex payer requirements, optimize reimbursement, and avoid costly operational mistakes. We deliver more than services—we provide the expertise and accountability essential to long-term financial and operational success.
"Our clients rely on us not just for execution, but for guidance—because operational decisions made early in a practice’s development often determine long-term financial outcomes."
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Independent private practices
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Multi-provider behavioral health groups
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Specialty treatment programs
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Expanding and multi-location organizations
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Private behavioral health hospitals
Work With a Team That Understands How Psychiatry Practices Actually Operate
If your practice is experiencing challenges with credentialing, billing, authorization, documentation, or revenue consistency, the issue is rarely isolated.
It is operational.
Metro NeuroHealth helps practices identify and correct these breakdowns—so they can operate with greater control, consistency, and confidence.

